Based on observation, interview and record review, facility staff failed to ensure there was a full-time Director of Nursing (DON) for at least 40 hours a week since the DON was filling in as the night shift nurse and not working in the role as the DON on the day shift. There were no other staff reassigned to perform the DON duties on the day shifts. This deficient practice had the potential to affect all residents residing in the facility. The facility census was 58.Review of the Facility assessment dated [DATE] showed:-Total resident census was 54 residents; and-The facility needs one Administrator, one Administrative Assistant, and one DON full-time days to provide support and care for the residents. …
F727 citations in Missouri
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F727 more often than its own record predicts
2.97 times the share F727 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F727 findings written in Missouri, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to provide the services of a Registered Nurse (RN) for eight consecutive hours per day, seven days a week. The facility maintained a census of greater than 60 residents and this deficiency had the potential to affect all residents. The facility census was 71. Review of the facility's Nurse Staffing Sufficiency policy, undated, showed nurse staffing is sufficient for each unit if the facility has the services of an RN available 8 consecutive hours a day 7 days a week. 1. …
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Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.87% | 1.27× |
| 2024 | 1.11% | 2.07× |
| 2025 | 1.27% | 2.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction